Individual provider · Type 1 NPI
Lakiesha Green
Assisted Living Facility · Prichard, AL
NPI number
1407776057
Active
Practice location
135 E Petain St
Prichard, AL 36610-1725
Mailing address
6240 Rester Rd Lot H
Theodore, AL 36582-3920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1407776057
Lakiesha Green's National Provider Identifier is 1407776057, issued on Jul 15, 2026. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Prichard, AL. The record was last updated on Jul 15, 2026.